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Table 3 Questions for a clinic considering OBOT adoption

From: Financial sustainability of payment models for office-based opioid treatment in outpatient clinics

1. If your organization is primarily paid on a fee-for-service basis

 a. Will payers increase your billable rates to cross-subsidize non-billable OBOT services?

 b. Will your OBOT service volume be sufficient to provide revenue that could support the salary of staff delivering non-billable services?

 c. Will OBOT adoption result in additional volume of other billable services (e.g. pharmacy) that could cross-subsidize non-billable OBOT services?

 d. Are other subsidies available to support non-billable OBOT services? (e.g. grants from the state or from HRSA)

2. If your organization is not primarily paid on a fee-for-service basis

 a. Are your non-fee-for-service payment rates (e.g. bundled payments) adequate to pay for all needed OBOT services?

 b. Are other subsidies available to supplement the payment rates? (e.g. grants from the state or from HRSA)

  1. Evaluation: if your answers are mostly ‘no’, then OBOT implementation will be more challenging for your clinic